Doctor Name: | MR. TOBY R PARDO |
NPI Number: | 1053433623 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RAS |
License Number: | |
Business Practice Address: | 559 E Bardsley Ave Tulare, CA - 932745400 |
Business Phone Number: | 5596887531 |
Business Fax Number: | 5596887930 |
Mailing Address: | Po Box 688, TULARE |
State: | CA |
Postal Code: | 932750688 |
Phone Number: | 5596887531 |
Fax Number: | 5596887930 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 07/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |